Individual
MISS DEMITA GLYNNE KINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2325 S HARVARD AVE, TULSA, OK 74114-3300
(918) 712-4301
Mailing address
650 S PEORIA AVE, TULSA, OK 74120-4429
(918) 587-9471
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
10/10/2012
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